Jonathan A. Oler HHS Public Access Andrew S. Fox Steven E ...
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Amygdalar and hippocampal substrates of anxious temperament differ in their heritability
Jonathan A. Oler1,3,*, Andrew S. Fox2,4,*, Steven E. Shelton1,3, Jeffrey Rogers5,6, Thomas D. Dyer6, Richard J. Davidson1,2,3,4, Wendy Shelledy6, Terrence R. Oakes4, John Blangero6, and Ned H. Kalin1,2,3,4
1Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, USA
2Department of Psychology, University of Wisconsin-Madison, Madison, Wisconsin, USA
3HealthEmotions Research Institute, University of Wisconsin-Madison, Madison, Wisconsin, USA
4Waisman Laboratory for Brain Imaging and Behavior at the University of Wisconsin-Madison, Madison, Wisconsin, USA
5Baylor College of Medicine, Houston, Texas, USA
6Southwest Foundation for Biomedical Research, San Antonio, Texas, USA
Abstract
Anxious temperament (AT) in human and non-human primates is a trait-like phenotype evident
early in life that is characterized by increased behavioural and physiological reactivity to mildly
threatening stimuli 1–4. Studies in children demonstrate that AT is an important risk factor for the
later development of anxiety disorders, depression, and comorbid substance abuse 5. Despite its
importance as an early predictor of psychopathology, little is known about the factors that
predispose vulnerable children to develop AT and the brain systems that underlie its expression.
To characterize the neural circuitry associated with AT and the extent to which the function of this
circuit is heritable, we performed a study in a large sample of rhesus monkeys phenotyped for AT.
Using 238 young monkeys from a multigenerational single-family pedigree, we simultaneously
assessed brain metabolic activity and AT while monkeys were exposed to the relevant ethological
condition that elicits the phenotype. High-resolution 18F-deoxyglucose positron emission
tomography (FDG-PET) was selected as the imaging modality since it provides semi-quantitative
indices of absolute glucose metabolic rate, allows for simultaneous measurement of behaviour and
brain activity, and has a time course suited to assess temperament-associated sustained brain
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Correspondence and requests for materials should be addressed to N.H.K ([email protected]).*These authors contributed equally to this work.
Supplementary Information is linked to the online version of the paper at www.nature.com/nature.
Author Contributions N.H.K., S.E.S., J.R. and A.S.F. designed the study. S.E.S oversaw data collection. J.A.O., A.S.F., and N.H.K. analyzed the imaging data. T.R.O., A.S.F. and J.B. developed analytical tools. R.J.D. provided theoretical assistance. J.R. and W.S. performed the genotyping and maintained the pedigree record. J.R., W.S., T.D.D. and J.B. performed the genetic analyses. J.A.O., N.H.K., A.S.F., J.R. J.B. and R.J.D wrote the paper.
Author Information Reprints and permissions information is available at www.nature.com/reprints. The authors declare no competing financial interests.
HHS Public AccessAuthor manuscriptNature. Author manuscript; available in PMC 2011 February 01.
Published in final edited form as:Nature. 2010 August 12; 466(7308): 864–868. doi:10.1038/nature09282.
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responses. Results demonstrated that the central nucleus region of amygdala and the anterior
hippocampus are key components of the neural circuit predictive of AT. Quantitative genetic
analysis demonstrated significant heritability of the AT phenotype. Additionally, a voxelwise
analysis revealed significant heritability of metabolic activity in AT-associated hippocampal
regions. However, activity in the amygdala region predictive of AT was not significantly heritable.
Furthermore, the heritabilities of the hippocampal and amygdala regions significantly differed
from each other. Even though these structures are closely linked, the results suggest differential
influences of genes and environment on how these brain regions mediate AT and the ongoing risk
to develop anxiety and depression.
Anxiety disorders are among the most common forms of psychopathology 6, and frequently
begin during childhood and adolescence. While all children experience acute anxiety,
children with AT display extreme behavioural and physiological reactivity to novel stimuli
and in the presence of strangers inhibit their locomotor activity and vocalizations 3.
Furthermore, children with AT are maladaptively shy and chronically suffer from worry and
apprehension. Some children with AT also exhibit increased pituitary-adrenal and
autonomic activity 4. Identifying neural intermediate phenotypes of AT is a critical step in
elaborating how environmental and genetic factors influence the development of anxiety and
affect-related psychopathology. While AT is assumed to be partially heritable, the extent to
which genetic variation influences metabolic activity in the neural circuit that underlies AT
remains to be determined. We previously validated a nonhuman primate model of AT 7 and
demonstrated that brain activity assessed across stressful and non-stressful contexts
predicted AT, revealing the stable trait-like characteristics of brain metabolic activity
associated with this disposition 2.
To characterize the extent to which individual differences in AT-related brain activity are
heritable, we concomitantly assessed AT and regional brain metabolism in 238 young rhesus
monkeys (male = 116, female = 122, mean age = 2.4 years, range = 0.74 – 4.2 years)
belonging to a multigenerational single-family pedigree of more than 1500 individuals. The
statistical power of an extended pedigree approach to quantitative genetic analysis is derived
from the presence of substantial numbers of closely related, more distantly related, and
unrelated pairs that all contribute information concerning the effects of kinship (shared
genes) on phenotypic similarity (see supplementary information).
Similar to AT in children, monkey AT was assessed using measures of threat-induced
freezing behaviour and inhibited vocalizations, as well as plasma cortisol concentrations
(see supplementary information). AT and brain metabolism were assessed when monkeys
freely behaved in a test cage by themselves for 30 minutes in a potentially threatening
situation in which a human “intruder” entered the room and stood 2.5 meters from the cage
8. During this time the intruder presented his profile to the monkey ensuring that he avoided
eye contact with the animal (No Eye Contact; NEC). Animals with the greatest AT froze
longer, vocalized less, and had elevated plasma cortisol levels. The rationale underlying the
use of the NEC paradigm is: 1) it optimally elicits the behaviours associated with the AT
phenotype 8, 2) increased amygdala metabolism occurs during NEC 2, and 3) selective
dorsal amygdala lesions attenuate NEC-induced behavioural and physiological responses 9.
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To further understand the relation between regional brain activity and AT, monkeys were
injected with FDG immediately prior to NEC. Following NEC exposure, blood was
collected for cortisol assessment and monkeys were anesthetized and placed in a high-
resolution microPET scanner to measure the FDG uptake that occurred during the NEC
challenge. FDG is glucose analog with a half-life of 110 minutes that is trapped by
metabolically active cells. Since the time course of FDG uptake reflects brain activity over
an approximate 30-minute period, and remains stably detectable in the brain, it is an ideal
radiotracer to simultaneously study behaviour and brain activity elicited by exposure to
ethologically relevant situations. Furthermore, FDG-PET allows for measurement of brain
activity within a single condition, and unlike fMRI does not require a contrast with a
baseline signal. These features make FDG-PET particularly useful in understanding the
sustained brain responses associated with temperament, which by definition is a persistent
and relatively context-independent disposition.
The results demonstrated highly significant correlations between individual differences in
AT and glucose metabolism within several large clusters (left and right anterior temporal
lobe, midline parietal cortex, left and right visual cortex, right posterior thalamus and right
temporal parietooccipital area; see Table 1). The anterior temporal lobe clusters (Fig 1) are
of particular interest since they contain the amygdala, extended amygdala and anterior
hippocampus, regions consistently implicated in mediating emotional behaviour, fear-related
responses, and anxiety and depressive disorders 1,10–14. Mean glucose metabolism in the
left and right anterior temporal lobe clusters (residualized for age, sex and mean gray matter
probability) accounted for 24.4% and 27.5% of the variance in AT, respectively. Because
these clusters contain anatomically distinct brain structures, we sought to specify the regions
within the anterior temporal lobe clusters that most strongly predicted AT (i.e., the global
maxima of the right and left clusters). The voxels most strongly predictive of AT were
located in the lateral portion of the right dorsal amygdala (r=0.44, p=2.38e-13; Fig 1A and
Fig 2A), which contains the central nucleus of the amygdala (CeA) and the amygdalostriatal
transition zone (ASTZ), and in the left hippocampus (r=0.45, p=8.3e-13; Fig 1E and Fig
2B). No effects of sex or laterality were observed in any of the reported correlations (all p’s
> 0.10), nor were there any significant main effects of sex on the components of AT (all p >
0.10).
The amygdala and hippocampus work in concert in mediating emotion-modulated memory
15, however, it is important to emphasize that these structures uniquely contribute to other
aspects of emotional processing. For example, hippocampal lesions in rats and rhesus
monkeys produce alterations in anxious behavior that are distinct from the effects of
amygdala lesions 16–18. As the dorsal amygdala and anterior hippocampus are adjacent
structures, calculating the spatial confidence intervals around the voxels containing the
maximum t-values further delineated the locations of these peaks. The confidence intervals
represent volumes that with 95% certainty contain the peak correlations between metabolic
activity and AT (see supplementary information). To further demarcate the location of these
peaks the volumes contained within these confidence intervals were superimposed on a
voxelwise map of [11C- DASB] serotonin transporter (5-HTT) binding created from an
independent sample of rhesus monkeys (see supplementary information). This 5-HTT map,
thresholded at 250× background binding, can be used to precisely localize the CeA and
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differentiate it from the anterior hippocampus, since compared to surrounding regions the
lateral division of the CeA has the highest density of 5-HTT binding 19. As can be seen in
Fig. 1A–D, the right dorsal amygdala 95% confidence interval encompasses the lateral
region of the right CeA and the laterally adjacent ASTZ. Anatomical studies show that the
ASTZ shares many similarities with the CeA, and may represent a posterior division of the
ventral striatum/extended amygdala 13. The left hippocampal 95% confidence interval does
not overlap with the lateral CeA region as defined by 5-HTT binding, further confirming the
spatial dissociation between the dorsal amygdala and anterior hippocampal regions
predictive of AT (Fig 1E–H).
To estimate the heritability of AT, the pedigree relationships and individual phenotype
measures were used in maximum likelihood variance components analyses computed using
SOLAR (see supplementary information). Consistent with prior findings in rhesus monkeys
20, as well as studies of human anxiety 21, AT was significantly heritable (h2=0.36,
p=0.015). A voxelwise heritability analysis for brain activity was performed using SOLAR
controlling for the potential confounds of age, age2 and sex. Analyses were limited to those
voxels within the FDG clusters that were significantly predictive of AT. Since previous
studies demonstrated that heritable individual differences in brain structure relate to stress
reactivity 22, gray matter probability was also included as a voxelwise covariate. Glucose
metabolic activity was significantly heritable in voxels in the anterior temporal lobe clusters
(Fig 3) as well as in the other clusters predictive of AT (see supplementary information).
Within the anterior temporal lobe clusters, significantly heritable regions were found in
bilateral hippocampus (right sided maximally significant heritable voxel: h2=0.65,
p=3.83e-05; left sided maximally significant heritable voxel: h2=0.76, p=3.4e-06) and in the
right superior temporal sulcus (maximally significant heritable voxel: h2=0.46, p=5.92e-03).
No significantly heritable voxels were observed in the amygdala regions predictive of AT
(see Fig 3). As with any null finding, the possibility exists that significant heritability of
amygdala metabolic activity could be detected with a larger sample.
The heritability estimates for the peak AT-predictive hippocampal and amygdala voxels
were: h2=0.52 (p=0.001) and h2=0.02 (p=0.454), respectively. To test whether the
heritability of metabolic activity in these hippocampal and amygdala AT-predictive voxels
significantly differed from each other, a model that allowed the two heritability estimates of
these voxels to vary independently was compared with a model that constrained the
heritability estimates to be equal. The observed difference in heritability between the
hippocampal and amygdala peak voxels was 0.518 (95% CI: 0.238 – 0.799). Results
confirmed that the heritability of metabolic activity in the anterior hippocampal voxel was
significantly greater than that in the dorsal amygdala voxel (χ2=6.08, df=1, p<0.0137). A
similar difference in heritability was found for the amygdala and hippocampal regions
defined by the 95% spatial confidence intervals of the most AT-predictive peaks (χ2=6.24,
df=1, p<0.0125). For these regions the observed difference in heritability was 0.508 (95%
CI: 0.218 – 0.798). These results suggest that the heritable risk to develop AT is more likely
to be related to hippocampal, and not amygdala, metabolic activity when assessed during the
NEC condition. Given that the amygdala and anterior hippocampus are anatomically linked,
and are both highly predictive of AT, we did not expect the heritability of these regions to be
dissociable. Demonstrating differential heritability between these two closely related
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structures is highly valuable as it provides new insight into the neural circuits underlying
AT. Additionally, it establishes a model system that can be used to further investigate the
genetic and environmental mechanisms that may differentially affect amygdala and
hippocampal function relevant to the development of anxiety-related psychopathology.
Since heritability estimates are influenced by context, environmental variation, and
population characteristics including age 23,24, it is possible that greater heritability of
amygdala function would be detected when examining different phenotypes, other
developmental stages, or when using different paradigms to understand other amygdala-
dependent functions.
The lack of significant additive genetic effects (heritability) observed in the amygdala region
may appear to be inconsistent with the numerous reported effects of single genes, most
notably the repeat length polymorphism in the promoter region of the serotonin transporter
gene (5HTTLPR), on emotion-related amygdala reactivity 25–28. The majority of these
single gene effects are context-dependent, revealed by comparing acute changes in
amygdala reactivity to a baseline state. In a previous study, with a considerably smaller
sample of monkeys, we demonstrated such context-dependent effects of the 5HTTLPR on
amygdala metabolic activity by comparing an activated state to a baseline condition 29. To
further understand similarities between the current paradigm and those demonstrating
influences of single genes on amygdala reactivity, animals were genotyped for the
5HTTLPR and measured genotype analyses, sensitive to effects of single genes, were
performed. Results demonstrated no significant effect of the 5HTTLPR on either AT (p =
0.271) or metabolism in the amygdala and hippocampal regions predictive of AT (FDR q >
0.05). These data are consistent with a recent large-sample human study that failed to
demonstrate a relation between the 5HTTLPR and resting amygdala activity as measured
with perfusion MRI, which like FDG-PET does not require a comparison condition 30.
These findings emphasize the importance of distinguishing between studies assessing
sustained trait-like brain responses associated with AT from those investigating acute
reactivity of the amygdala in relation to adult anxiety.
While the amygdala and hippocampus have been recognized as important in emotion and
psychopathology, little data exist regarding the role of these regions in the development of
temperamental dispositions such as AT. Recent theories have implicated the amygdala in
mediating acute fear and vigilance 11,12, whereas the hippocampus has primarily been
linked to mechanisms underlying declarative memory 15. Of interest, earlier theorists
emphasized the septo-hippocampal system as being central to anxiety and specifically
involved in threat-related behavioural inhibition 10. The current findings provide support for
an important role of the anterior hippocampus in the development of anxious dispositions
16,17, and suggest that the highly interconnected regions of the hippocampus and amygdala
are differentially influenced by genetic and environmental factors. These data support a new
model combining measures of metabolic brain activity with ethologically relevant
behavioural challenges to discover genes that mediate the endophenotype underlying the risk
to develop anxiety and depression.
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METHODS SUMMARY
Functional and structural (MRI) brain data for each animal were co-registered to a standard
space based on an age-appropriate rhesus monkey brain template. Whole-brain linear
regression analyses examined the relations between FDG uptake and AT. To account for
potential confounds, age and sex were included in the regression model as covariates. Gray
matter probability was also included as a voxelwise covariate to account for the possibility
that structural differences affected the relation between brain metabolic activity and AT. The
resulting 3D t-map was corrected for multiple comparisons using the Šidák equation (1 − (1
− α)1 / n), which is similar to the Bonferroni method and determined the statistical threshold
of p=0.05, corrected (t > 5.47). To estimate the heritability of AT, phenotypic covariance/
correlation amongst pairs of relatives was modeled as a function of expected pairwise
kinship values to estimate the magnitude of additive genetic variance relative to that of the
observed phenotypic variance. Age, age2 and sex were included in the mean effects model
as covariates to control for these potential confounds. The resulting heritability data were
corrected for multiple comparisons based on the total volume of all the clusters correlated
with AT using a False Discovery Rate (FDR; q-value = 0.05). Measured genotype analyses
use the same variance components approach as the heritability analyses, and were
implemented using SOLAR. Measured genotype analyses simultaneously estimate the effect
of specific genotypic differences among animals and the overall effect of pair-wise kinship,
thus testing for the effect of a single polymorphism while accounting for background allele
sharing across the genome due to genealogical relatedness. Full details on methods and any
associated references are presented in the Supplemental Information.
Supplementary Material
Refer to Web version on PubMed Central for supplementary material.
Acknowledgements
This work has been supported by NIH grants MH046729 (N.H.K.), MH081884 (N.H.K. and J.R.), MH084051 (R.J.D and N.H.K.), and the HealthEmotions Research Institute. The SOLAR statistical genetics computer package is supported by NIH grant MH059490 (J.B.). The supercomputing facilities used for this work were supported in part by a gift from the AT&T Foundation. We thank the staff at the Wisconsin National Primate Center, the Harlow Center for Biological Psychology, the HealthEmotions Research Institute, the Waisman Laboratory for Brain Imaging and Behavior, Brad Christian, Pat Roseboom, Helen van Valkenberg, Kyle Myer, Liz Larsen, Irina Monosov and Reuven Stone. We also thank Roy Garcia (SFBR) for assistance in genotyping the 5HTTLPR polymorphism.
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Figure 1. Glucose metabolism in the anterior temporal lobes is predictive of ATa, amygdala and e, hippocampus (significance of correlations - yellow: p < 0.05, light
orange: p < 0.01, dark orange: p < 0.001, corrected). Pink areas represent 95% spatial
confidence intervals of the peak correlations. b and f, corresponding slices adapted from The
Rhesus Monkey Brain in Stereotaxic Coordinates (2009). c, g, 5-HTT binding differentiates
the CeA region from the anterior hippocampus. d, The CeA, defined by the 5-HTT map,
encompasses the amygdala peak. h, The hippocampal peak is distinct and does not overlap
with the 5-HTT map.
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Figure 2. Peak correlations between AT and anterior temporal lobe glucose metabolisma, Voxel within the amygdala (see Fig 1a) reflecting the peak correlation between
metabolism and AT (r=0.44, p=2.38e-13) and b, voxel within the hippocampus (see Fig 1e)
reflecting the peak correlation between metabolism and AT (r=0.45, p=8.3e-13). 18F-
deoxyglucose values were extracted from each animal, residualized for the effects of age,
sex and gray matter probability, and plotted against individual differences in AT.
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Figure 3. Overlap between regional metabolic activity predictive of AT with regions that are significantly heritablea and b, No significantly heritable voxels were observed in the dorsal amygdala region,
although within the same slice significant heritability was detected in the superior temporal
sulcus. c, Glucose metabolism was significantly heritable in both the right hippocampus and
left hippocampus, d, where it overlaps with the left anterior hippocampal region that
correlated with AT. (yellow = regions predictive of AT from Fig 1; dark green to light
green: FDR: q < 0.05, q < 0.01, q < 0.001).
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Tab
le 1
Reg
ions
whe
re r
egre
ssio
n an
alys
es r
evea
led
that
AT
was
sig
nifi
cant
ly c
orre
late
d w
ith
brai
n m
etab
olis
m d
urin
g th
e N
o-E
ye-C
onta
ct
chal
leng
e
Dat
a ar
e pr
esen
ted
with
the
dire
ctio
n of
the
corr
elat
ion,
hem
isph
ere,
bra
in r
egio
ns in
volv
ed, a
nd th
e vo
lum
e of
eac
h A
T-c
orre
late
d cl
uste
r. T
he lo
cal
max
ima
for
each
ana
tom
ical
reg
ion
with
in th
e st
atis
tical
clu
ster
with
its
corr
espo
ndin
g t-
valu
e (p
=0.
05, c
orre
cted
) an
d lo
catio
n (i
n m
illim
eter
s re
lativ
e to
the
ante
rior
com
mis
sure
) ar
e al
so r
epor
ted.
CeA
; am
ygda
la c
entr
al n
ucle
us, A
STZ
; am
ygda
lost
riat
al tr
ansi
tion
zon
e.
Clu
ster
s co
rrel
ated
wit
h A
nxio
us T
empe
rmen
tL
ocal
max
ima
wit
hin
clus
ters
Loc
atio
n re
lati
ve t
o an
teri
orco
mm
isur
e (i
n m
m)
dire
ctio
n of
corr
elat
ion
Hem
isph
ere
Reg
ions
wit
hin
clus
ter
clus
ter
volu
me
in m
m3 )
Are
aM
axt-
valu
ex
yz
posi
tive
Ram
ygda
la/te
mpo
ral c
orte
x/85
0.8
dors
al a
myg
dala
(C
eA/A
STZ
reg
ion)
7.68
12.5
00−
0.62
5−
8.75
0
ante
rior
hip
poca
mpu
sve
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Rvi
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0
Nature. Author manuscript; available in PMC 2011 February 01.
Author M
anuscriptA
uthor Manuscript
Author M
anuscriptA
uthor Manuscript
Oler et al. Page 13
Clu
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Nature. Author manuscript; available in PMC 2011 February 01.